uterine dehiscence
Pronunciation: dee-HISS-ens
Partial separation of a uterine scar, typically from previous cesarean section, without complete rupture.
Full Definition
Uterine dehiscence refers to the partial separation of a uterine scar, most commonly from a previous cesarean section, where the muscle layer separates but the overlying serosa and/or peritoneum remains intact. This condition differs from complete uterine rupture in that there is no communication between the uterine cavity and peritoneal cavity, and it typically presents with less severe clinical symptoms. Dehiscence may be discovered incidentally during repeat cesarean section or may present with subtle signs such as abdominal pain or abnormal fetal heart rate patterns. Management depends on the timing of diagnosis and clinical presentation, ranging from observation to surgical repair.
Usage
Usage note: Distinguish clearly from complete rupture in documentation due to different management implications.
In Context
- "Intraoperative findings revealed uterine dehiscence at the previous cesarean scar site." — operative report
- "The patient with uterine dehiscence remained hemodynamically stable throughout the procedure." — postoperative note